Ethics consultation is a commonly applied mechanism to address clinical ethical dilemmas. However, there is little information on the viewpoints of health care providers towards the relevance of ethics committees and appropriate application of ethics consultation in clinical practice. We sought to use qualitative methodology to evaluate free-text responses to a case-based survey to identify thematically the views of health care professionals towards the role of ethics committees in resolving clinical ethical dilemmas. Using an iterative and reflexive model we identified (...) themes that health care providers support a role for ethics committees and hospitals in resolving clinical ethical dilemmas, that the role should be one of mediation, rather than prescription, but that ultimately legal exposure was dispositive compared to ethical theory. The identified theme of legal fears suggests that the mediation role of ethics committees is viewed by health care professionals primarily as a practical means to avoid more worrisome medico-legal conflict. (shrink)

Cognitive processing in psychology and semiotics are compared in relation to language processing and memory.Active reconstruction in memory is postulated, as well as the representation of whole messages as signs. The paradigm, then, is based on the study of active reconstruction of verbal messages from their semiotic representations in memory. Differences between original and reconstructed messages are used as dimension of empirical study in the paradigm. Research findings are cited in support of this approach.